The Research Development Program (RDP) was initiated in 2004 under the Primary Health CareResearch, Evaluation and Development (PHCRED) Strategy to increase the number and range of people with knowledge and skills in primary health care research and evaluation.RDP Fellows were invited to participate in an online survey about the effect the program had on their research knowledge, attitudes and practiceThe response rate was 42% (105/248). Most were female (88%) with 66% aged between 31 and 50 years. Over two thirds (72%) were health practitioners.Activities undertaken during the RDP ranged from literature reviews, developing a research question, preparing ethics submissions, attending and presenting at conferences and seminars, preparing papers and reports, and submitting grant applications.Despite the fact that only 52% agreed that the RDP time was adequate, 94% agreed that the RDP was a valuable experience, with 89% expressing interest in undertaking further research.These results indicate that this program has had a positive effect on the RDP Fellows in terms of their knowledge about research, their attitude to research, and the way they use research in their work.-3 - IntroductionIt is recognised that having a strong primary health care sector improves population health (Starfield et al. 2005). Primary health care research plays an important part in energising and validating the health care system (Stewart et al. 2010). This area of research, being relatively new, needs support to build the capacity of the workforce and the research methodology so that it becomes an independent and competitive field of research to provide a robust body of knowledge.Primary health care research and evaluation is vital in ensuring the quality and accountability of the primary health care sector (Farmer and Weston 2002). Internationally, a number of programs have been launched to increase research within the primary health care sector. For example, in Scotland, primary care research networks provided primary care practitioners with grants to buy time to undertake a research training course with a view to developing a research proposal (Hannay 2006). The UK has developed primary care research networks to provide avenues for diverse health practitioners to engage in research (Thomas et al. 2001). Canada has developed a national training program for primary health care practitioners that provide hands on research training as well as access to discussion groups and online workshops (Stewart et al. 2010). In the US a 10 week training program provided to doctor of pharmacy (PharmD) students was shown to increase the likelihood of students pursuing a research career path (Johnson et al. 2008).Indeed, practitioners who receive some form of research training are more likely to participate in future research (Ried et al. 2008) and are also more likely to publish their research (Brand et al. 2008). A study investigating why general practitioners became involved in a research project indicated that the practitioners were motivated b...
The aim of this study was to assess the change in recording of client population smoking attributes (smoking status recorded and smoking status) in Tackling Indigenous Smoking (TIS)-funded services compared with non-funded services for Aboriginal and Torres Strait Islander people, 2014-16. The study included a cohort of 152 Aboriginal-community controlled services with aggregate client smoking data from 2014 to 2016. Negative binomial regression was used to assess change in smoking status recorded and smoking status between TIS and non-TIS funded organisations. The models controlled for size of client population, jurisdiction and remoteness. From 2014 to 2016, the overall reporting rate (change in recording of smoking status) of client smoking status was 1.58-fold higher (95% confidence interval (CI) 1.30-1.91; P < 0.001) in TIS-funded than non-TIS-funded services after controlling for year, remoteness and their interaction. The highest change in reporting of client smoking status was for TIS-funded services in remote areas (reporting ratio 6.55; 95% CI 5.18-8.27; P < 0.001). In 2016, TIS-funded services reported higher overall levels of recording client smoking status (current, ex- and non-smokers) than non-TIS funded services (RR 1.11; 95% CI 1.00-1.28; P < 0.001). There was no significant change in the reporting of smokers, ex-smokers or non-smokers over the three reporting periods. The analysis shows higher reporting of the proportion of the service client population for services funded under the TIS program compared with non-TIS-funded services. Existing evidence suggests that following-up smokers with targeted clinical interventions once they have had smoking status recorded could reduce smoking rates in the long term. The public health contribution of this study has defined one method for assessing smoking attributes when using aggregate health service data. This method could be applied to future tobacco control programs in health services. Aboriginal and Torres Strait Islander smoking prevalence is high. The Aboriginal and Torres Strait Islander primary healthcare providers' national key performance indicators (nKPIs) are one data source that can track changes over time in smoking in clients of these services. This paper presents the first analytical study and evaluation of the nKPI dataset items on smoking. There is value in analysing routinely collected data in program evaluations. The method used in this paper demonstrates one approach that could be used to assess smoking indicators and their changes over time in TIS program evaluation.
There is little discussion about the crisis in the pathology and medical science workforce despite the implications it has for the whole health system. The crisis has greater implications for rural and remote locations because of the range of skills and multidisciplinary approach required in these areas. Recognition of the clinical significance and organisational importance of the sector is required as is recognition of the unique characteristics of rural and remote pathology and greater support for rural and remote pathology practitioners.
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